<form action='{$base_uri}index.php/WidgetForm/Fillout/{$formId}' id="ajaxForm{$formId}" method="post">
{if $open}
<input type="button" onClick="formSubmit({$formId});" value="Update" />
{/if}
<input type="hidden" name="form_id" value="{$formId}" />
<input type="hidden" name="process" value="true" />
<input type="hidden" name="filloutType" value="encounter" />
		<table>
		<tr><td>
		<h3>Comment</h3>
                {input name="assessment_comment" type="text" cols="50" rows="4"}
</td>
</tr>
</table>
</form>
